The Emotionally Abused and Neglected Child: Identification, Assessment and Intervention: A Practice Handbook

The Emotionally Abused and Neglected Child......Page 3
Contents......Page 9
About the Author......Page 15
Preface......Page 17
Acknowledgements......Page 19
The Problem......Page 21
Introduction......Page 23
History of the Concept......Page 25
Early Studies......Page 28
The Concept of Emotional Abuse......Page 29
Case Studies......Page 31
Consequences of Emotional Abuse......Page 36
Terminology......Page 38
The Organisation of the Book......Page 39
Summary......Page 42
Introduction......Page 43
Definition......Page 45
Defining Characteristics......Page 46
Definition and Typology of Emotionally Abusive Behaviour......Page 47
Emotionally Abusive Parenting......Page 50
Problem Profile of Emotionally Abused and Neglected Children......Page 56
Rejected Children......Page 57
Consequences of Emotionally Harmful Parenting – Messages from Research and Practice......Page 60
Identification and Incidence......Page 66
Summary......Page 69
Family Violence......Page 70
Case Study......Page 74
Parental Divorce/Separation......Page 79
Post-Divorce Parental Conflict and the Effect on Children......Page 83
Contact Dispute Case......Page 85
Parental Substance Misuse......Page 86
Summary......Page 90
Introduction......Page 92
School Bullying: Peer Abuse......Page 93
A Case of Bullying......Page 95
Emotional Abuse/Neglect by Teachers......Page 99
The Extent and Nature of Child Emotional Abuse/Neglect by Teachers......Page 100
Verbal Attacks and Humiliating Behaviours......Page 103
Rejecting and Isolating......Page 105
Emotional Abuse and Neglect in Out-of-Home Care......Page 106
Children and Young People in Custody......Page 109
Summary......Page 113
Introduction......Page 114
What is Attachment?......Page 115
The Origins of Attachment Theory......Page 116
Parental Sensitivity and Formation of Attachment......Page 117
Individual Differences: The Strange Situation......Page 118
Child-to-Parent Attachment and Emotional Abuse......Page 120
Parent-to-Infant Attachment (Bonding)......Page 121
Significance of the Parent–Child Attachment......Page 122
Adult Attachment Styles......Page 124
Mothers who Promote Secure Attachment Behaviour in their Children......Page 125
Dismissing and Rejecting Mothers......Page 126
Consequences of Insecure Attachment......Page 129
Summary......Page 132
Introduction......Page 133
Infancy......Page 135
Attachment Behaviour......Page 137
Early Childhood......Page 138
Middle Childhood......Page 140
Adolescence......Page 142
Summary......Page 145
Introduction......Page 147
What is Failure to Thrive?......Page 148
Emotional Stunting in Growth......Page 150
Case Study......Page 152
Causal Mechanisms......Page 154
Growth-Hormone Deficiencies......Page 156
Manifestation of Disturbed Behaviour......Page 157
Twenty-Year Follow-Up Study......Page 165
Summary......Page 168
Introduction......Page 169
Incidence and Prevalence Rates......Page 170
Risk-Factors......Page 172
Case Study......Page 176
Practice Issues......Page 178
Summary......Page 183
Introduction......Page 184
Risk and Resilience Factors for Emotional Maltreatment......Page 186
Case Studies......Page 188
Case Discussion......Page 192
Precipitating Factors......Page 193
Factors Intrinsic to the Child......Page 194
Environmental Factors......Page 195
Comments on Risk and Resilience......Page 197
Early Adversities and Recovery......Page 200
Summary......Page 202
Assessment of Emotional Abuse and Neglect......Page 205
Introduction......Page 207
Department of Health Framework of Assessment......Page 209
Parenting Duties and Problems......Page 210
Assessment of Basic Care......Page 213
Parental Characteristics......Page 215
Ensuring Safety......Page 218
Emotional Warmth......Page 219
Parent–Child Interaction......Page 220
Stimulation......Page 226
Guidance and Boundaries......Page 227
Stability......Page 228
Children’s Developmental Needs......Page 229
Interview with the Child......Page 237
Observation of Children......Page 239
Summary......Page 248
Treatment and Intervention of Emotional Abuse and Neglect......Page 249
Introduction......Page 251
Levels of Prevention and Intervention......Page 253
Universal Prevention/Intervention......Page 254
Family Support......Page 257
Targeted Prevention/Intervention Multidisciplinary Approach......Page 261
Case Conferences......Page 262
Multidisciplinary Inter-Agency Co-operation and Service Delivery......Page 264
Case Study......Page 265
Civil Court Intervention......Page 268
Summary......Page 269
Introduction......Page 271
Behavioural Work......Page 272
Behavioural Methods and Techniques......Page 273
Use of Cognitive Methods of Intervention......Page 280
Essential Components of Cognitive Treatment......Page 283
Relaxation Training......Page 291
Problem-Solving......Page 293
Case Study......Page 296
Motivational Interviewing......Page 302
Summary......Page 304
Introduction......Page 306
Building Secure Attachment......Page 308
Improving Children’s Attachment Behaviour to Parents with Mental-Health Problems......Page 310
Child–Parent Psychotherapy......Page 312
Watch, Wait, and Wonder......Page 313
Video-Recording and Feedback......Page 314
Parent–Child Interaction Therapy......Page 315
Working with Foster-Parents – Counselling Regarding Attachment......Page 317
Summary......Page 319
Introduction......Page 320
Play Therapy......Page 321
Promoting Resilience......Page 325
Social-Skills Training......Page 331
Assertiveness Training......Page 332
The Jug of Loving Water......Page 334
Case Study......Page 337
Summary......Page 339
Introduction......Page 341
Counselling......Page 342
Family Therapy......Page 343
Psychoeducation......Page 354
Group Work with Emotionally Abusive and Neglectful Parents......Page 359
Dealing with Marital Problems......Page 362
Summary......Page 365
The Burden of Proof: Legal and Social Work Difficulties in Dealing with Emotional-Abuse and Neglect Cases......Page 367
Introduction......Page 369
Legal and Social Work Decisions in Cases of Emotional Abuse......Page 372
Applications to the Court......Page 373
Children’s Rights and the Parents’ Rights as Legal Requirements......Page 375
Gathering Information......Page 377
Decision-Making......Page 378
Independent Assessment of Expert Witness......Page 379
Issues for Social Workers and Lawyers Working Together......Page 380
Training......Page 382
Summary......Page 384
References......Page 386
Index......Page 415